Electroconvulsive therapy protocol adaptation during the COVID-19 pandemic.

Journal of Affective Disorders
Joaquín Gil-BadenesEduard Vieta

Abstract

During the COVID-19 pandemic, electroconvulsive therapy units have had to confront challenges such as the infectious hazard due to aerosol-generating ventilation, or the lack of staff and material resources. Our objective was to elaborate a protocol to make ECT during the COVID-19 pandemic a safer procedure for patients and professionals. A multidisciplinary workgroup (including mental health, anesthesia, preventive medicine, and occupational risk professionals) was formed in the Hospital Clínic de Barcelona, in March 2020. A core group conducted a review of the scientific literature and healthcare organizations' guidelines and wrote a protocol draft. Then, a discussion with the workgroup was made until consensus was reached. The protocol has been continuously updated. Discussions were made by group e-mailing and video conferencing. The protocol includes the following main areas: (1) ECT unit's structural and functional considerations; (2) SARS-CoV-2 screening protocol; (3) ECT clinical practice adaptation (personal protective equipment, airway management, recovery room, and maintenance of the facilities); (4) management of COVID-19 cases; and (5) protocol assessment. The literature review was not systematic; the consensus was ...Continue Reading

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Citations

Feb 19, 2021·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Jamie RobertsonVenkat Bhat
Nov 13, 2020·The Journal of ECT·Sachin YeoleAvinash de Sousa
Oct 13, 2020·Journal of Affective Disorders·Alba Hernández-GómezEduard Vieta
Feb 27, 2021·Journal of Affective Disorders·Vicent Llorca-BofíAurora Torrent
Apr 13, 2021·Asian Journal of Psychiatry·Rohini M SurveJagadisha Thirthalli
May 15, 2021·Revista de psiquiatrí́a y salud mental·Miguel Martinez-RoigArgia Arriola-Segura
May 29, 2021·Neuropsychiatric Disease and Treatment·Aida de Arriba-ArnauMikel Urretavizcaya
May 26, 2021·Best Practice & Research. Clinical Anaesthesiology·Martin SoehleRicard Valero
Aug 1, 2021·Psychiatry Research·José Manuel Montes, Daniel Hernández-Huerta
Jul 31, 2021·Revista de psiquiatrí́a y salud mental·Erika Martínez-AmorósNarcís Cardoner

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Methods Mentioned

BETA
PCR
sedation
PCRs

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